Individual provider Active NPI

Leanore Marie Cipollone, APRN, BC

  • Adult Health Nurse Practitioner
  • Mullica Hill, NJ
National Provider Identifier
1538492129
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN08694800 Issued in NJ
Practice address
155 N Main St
Mullica Hill, NJ 08062-2612
Phone
(856) 478-4780
NPI assigned
Sep 14, 2009
Last updated
May 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN08694800 NJ Primary

Addresses

Primary practice location

155 N Main St
Mullica Hill, NJ 08062-2612

Mailing address

120 White Horse Pike
Ste 112
Haddon Heights, NJ 08035-1938
Phone (856) 547-0539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NN08694800NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Craig M. Wax, DO, LLC PastSince Jan 18, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1538492129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WHITE HORSE PIKE",
            "address_2": "STE 112",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351938",
            "telephone_number": "856-547-0539",
            "fax_number": "856-547-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MAIN ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622612",
            "telephone_number": "856-478-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLONE",
        "first_name": "LEANORE",
        "middle_name": "MARIE",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN08694800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.